ACLS Megacode 5: Stroke Hurry, don’t let time run out! Sorry, time is up! 0 Hours 0 mins 0 secs Step 1 of 3 33% A 78 y/o M presents with acute onset of left arm and leg weakness which started 1 hour prior to arrival. Your exam reveals male, appearing his stated age with the following vitals: T 36.9 / P 101 / BP 190/100 / RR 18 / O2 100%. Your exam reveals left sided arm and leg hemiparesis. 1. What bedside test is imperative to evaluate for easily reversible cause of symptoms?* Visual acuity Blood sugar Reflexes Blood pressure Blood sugar is wnl. Patient is brought promptly to CT scan, which is negative for intra-cranial hemorrhage. You are concerned for ischemic stroke and are considering administration of TPA.2. Which of the following are absolute contraindications for administration of TPA?* Symptom onset within the last 3 hours Platelet count less than 150,000 Minor, resolving symptoms Stroke in the last 3 months 3. The expectation of time to evaluation, time to CT scan, time to CT read, and time to diagnosis in an acute ischemic stroke is?* 10 minutes to assess, 30 minutes to CT scan, 45 minutes to CT read, 90 minutes to diagnosis 10 minutes to assess, 25 minutes to CT scan, 45 minutes to CT read, 60 minutes to diagnosis 25 minutes to assess, 45 minutes to CT scan, 60 minutes to CT read, 70 minutes to diagnosis 15 minutes to assess, 25 minutes to CT scan, 60 minutes to CT read, 80 minutes to diagnosis
